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HOW TO CHOOSE THE BEST FILLER UNDER EYES AND TEAR TROUGH

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IS ONE TYPE OF FILLER THE BEST FOR UNDER EYES AND TEAR TROUGHS?

The delicate area under the eyes is a popular area for facial fillers because this treatment can eliminate or reduce dark circles and eye bags without surgery. Eye bags and dark circles are one of the top concerns of patients coming into MD Aesthetica.

But there are many types of under eye filler and which one works the best and is the safest? MD Aesthetica offers a wide-array of fillers but luckily we have a few that are perfect for this application!

THE SAFEST FILLERS FOR THE UNDER-EYES AND TEAR TROUGH (HA GEL)

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Currently the best fillers for the under-eyes for the vast majority of people are made of cross-linked hyaluronic acid (HA) gel. Why? Because they are soft, pliable, and most importantly, reversible. If there is a problem with a lump or a bulge or a discoloration (tyndall effect) or a bubble from the filler, I can take it away with an enzyme injection that dissolves the filler.

There are a lot of different varieties of HA gel fillers and the number of choices are growing.  These include the Restylane family, the Juvederm family and Belotero.

Which are best?  Each one is unique is how they are under your skin and have different stiffness, flexibility, dispersion, and swelling behaviors.  The right mix of characteristics makes for the right filler for the job. This is why it is important to go to a professional injector who can make these determinations.

THE LIST OF UNDER-EYE HA FILLERS

 Here at MD Aesthetica we tent to choose Restylane-L as the best under eye filler because of it’s great behavior profile.  We’ll explain why later.  But first, below is a list of FDA-approved HA fillers (which are all off-label for under eyes) and how they work for the under-eyes and tear trough:

  • RESTYLANE

    While this is not the newest filler, it is still the best for under the eyes.  It has the ideal balance of stiffness, cohesivity, duration of effect (about a year under the eyes), and relatively low swelling. Restylane is very adjustable at MD Aesthetica for deep or shallow injections by modifying the filler through hydration. MD Aesthetica is one of the top injectors of Restylane in Houston and Texas.

  • BELOTERO BALANCE

    Bolotero is somewhat popular under-eyes because it is very forgiving for the injector.  It is not very stiff and it tends not to lump up or cause discoloration but the downside is that it doesn’t provide great lift if there is a deep tear trough.  It’s an acceptable choice but in our opinion not as versatile as Restylane.

  • JUVEDERM VOLBELLA AND JUVEDERM VOLLURE

    Lately the Juverderm family has added a few members that are suitable.  There is a softer one called  Volbella, and a stiffer one named Vollure. They cause less swelling than the older variety of Juvederm products and are good options for shallow (Volbella) and deeper (Vollure) injections under the eyes.

  • RESTYLANE REFYNE AND RESTYLANE DEFYNE

    These fillers have a different type of crosslinking than regular Restylane making them more “flexible” which can be of benefit in areas with a lot of facial movement (especially around the mouth).  There is benefit of using Refyne in the “crow’s feet” area but so far there is no shown benefit over regular Restylane for the under-eyes.

  • RESTYLANE SILK

    This is the thinnest, softest version of Restylane but it also has the highest swelling capacity.  Not the best choice when it comes to the thin under-eye skin which doesn’t take well to significant swelling.

  • JUVDERM ULTRA AND JUVEDERM ULTRA PLUS

    Juvederm Ultra has been used for under-eye filling in the past but it causes too much swelling ans is more likely to spread out causing the treatment to be less accurate and the product to end up in a different place than where it was meant to be injected. We do not recommend it so much for this use.

  • JUVEDERM VOLUMA

    This thicker version of Juvederm is best for cheeks but should never be put under-eyes. It tends to look lumpy and can also create long-term swelling.  It’s also resistant to dissolving with hyaluronidase so it can take several office visits to remove it from the under eyes.

Curious to learn more about the best filler under eyes?
Call 713-799-0000 or click HERE to schedule online.
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